Individual provider Active NPI

Kimberly M Papanikandros, LCSW

  • Clinical Social Worker
  • Carmel, IN
National Provider Identifier
1184608051
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003047A Issued in IN
Practice address
1085 3Rd Ave SW Ste 201
Carmel, IN 46032-7568
Phone
(317) 319-1716
Fax
(317) 846-2680
NPI assigned
Dec 2, 2005
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39000851A IN
Clinical Social Worker 1041C0700X 34003047A IN Primary
Marriage & Family Therapist 106H00000X 35001113A IN

Addresses

Primary practice location

1085 3Rd Ave SW Ste 201
Carmel, IN 46032-7568

Mailing address

1085 3Rd Ave SW Ste 201
Carmel, IN 46032-7568
Phone (317) 319-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312000971 IN Practitioner - Clinical Social Worker 0345686432 Practice locations: Carmel, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1085 3Rd Ave SW
Carmel, IN 46032-7568
Phone (317) 319-1716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39000851AINMDMental Health Counselor
34003047AINMDClinical Social Worker
35001113AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Marriage & Family Therapist PastSince Mar 1, 2010 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1184608051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 3RD AVE SW STE 201",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327568",
            "telephone_number": "317-319-1716",
            "fax_number": "317-846-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 3RD AVE SW STE 201",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327568",
            "telephone_number": "317-319-1716",
            "fax_number": "317-846-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANIKANDROS",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000851A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003047A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001113A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.